Denial Scenarios Unraveled: 48 Essential Situations for Healthcare Professionals

48 AR CALLING DENIAL SCENARIOS IN SINGLE BOOK: LEARN BY YOUR OWN

by Maggie Miller

4.6 out of 5

Language	:	English
File size	:	1457 KB
Text-to-Speech	:	Enabled
Enhanced typesetting	:	Enabled
Print length	:	50 pages
Lending	:	Enabled
Screen Reader	:	Supported
Hardcover	:	192 pages
Item Weight	:	15.8 ounces
Dimensions	:	6.14 x 0.5 x 9.21 inches

FREE

Denial of insurance claims is a common and frustrating problem faced by healthcare professionals. The complexities of medical billing and insurance regulations can make it difficult to understand why claims are denied, and what can be done to prevent them in the future.

This book provides a comprehensive guide to 48 of the most common denial scenarios. Each scenario is подробно разобрано, with a step-by-step guide on how to appeal the denial and get the claim paid.

Who Should Read This Book?

This book is essential reading for any healthcare professional who works with insurance claims. This includes:

• Physicians
• Nurses
• Medical coders
• Billers
• Practice managers

What You Will Learn

This book will teach you how to:

• Identify the most common denial scenarios
• Understand why claims are denied
• Appeal denied claims
• Prevent denials in the future

Table of Contents

The book is divided into 48 chapters, each of which covers a different denial scenario. The chapters are organized by topic, so that you can easily find the information you need.

The following is a list of the chapters:

• Chapter 1: Missing or incomplete information
• Chapter 2: Incorrect coding
• Chapter 3: Lack of medical necessity
• Chapter 4: Duplicate billing
• Chapter 5: Timely filing
• Chapter 6: Incorrect patient information
• Chapter 7: Non-covered services
• Chapter 8: Out-of-network providers
• Chapter 9: Pre-authorization requirements
• Chapter 10: Coordination of benefits
• Chapter 11: Fraud and abuse
• Chapter 12: Unreasonable charges
• Chapter 13: Balance billing
• Chapter 14: Appeals process
• Chapter 15: Tips for preventing denials

Denial of insurance claims is a major problem for healthcare professionals. This book provides a comprehensive guide to 48 of the most common denial scenarios. By understanding why claims are denied and how to appeal them, you can improve your chances of getting paid for the services you provide.

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48 AR CALLING DENIAL SCENARIOS IN SINGLE BOOK: LEARN BY YOUR OWN

by Maggie Miller

4.6 out of 5

Language	:	English
File size	:	1457 KB
Text-to-Speech	:	Enabled
Enhanced typesetting	:	Enabled
Print length	:	50 pages
Lending	:	Enabled
Screen Reader	:	Supported
Hardcover	:	192 pages
Item Weight	:	15.8 ounces
Dimensions	:	6.14 x 0.5 x 9.21 inches

FREE